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Organization
MISNER PROFESSIONAL DENTAL CORP
Active
Organization
MISNER PROFESSIONAL DENTAL CORP
Active
Other names
Kids Dental Place, Kids & Family Dental Place, Bayramyan Professional Dental Corp
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBECCA MISNER DMD (PRESIDENT)
(719) 323-2362
Entity
Organization
Contact information
Practice address
514 S ALVARADO ST, LOS ANGELES, CA 90057-2904
(213) 259-0606
Mailing address
2221 E BIJOU ST STE 100, COLORADO SPRINGS, CO 80909-8009
(719) 576-1850
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
51044
CA
Other
Enumeration date
11/09/2006
Last updated
06/19/2023
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